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Factors associated with long-stay nursing home admissions among the U.S. elderly population: comparison of logistic regression and the Cox proportional hazards model with policy implications for social work
- Authors:
- CAI Qian, SALMON J. Warren, RODGERS Mark E.
- Journal article citation:
- Social Work in Health Care, 48(2), February 2009, pp.154-168.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Demographic shifts and rising health care costs mean that care for the elderly will become a great societal challenge. This study investigated key factors associated with long-stay nursing home (LSNH) admission among the U.S. elderly population. Two statistical methods, multivariable logistic regression and Cox proportional hazards model, were performed and compared. Secondary data analyses using four waves (1995, 1998, 2000, and 2002) of the Health Retirement Study (HRS) coupled with the Assets and Health Dynamics among the Oldest Old (AHEAD) surveys were conducted. A total of 5980 respondents with a mean age of 78 were included, and during the study period 9.9% of these became a LSNH resident. Older age, lower self-perceived health, worse instrumental activities of daily living, psychiatric problems, and living alone were found significantly associated with increased risk of LSNH admission. In contrast, being female, African American, or Hispanic, owning a home, and having lower level of cognitive impairment reduced the admission risk. The Cox model generally provided more precise parameter estimates than logistic regression. Logistic regression can provide a good approximation to the Cox model in identifying factors of LSNH admission, however, the Cox model gives more information on how soon the LSNH admission may happen. These analyses, based on two models, dually identified the factors associated with LSNH admission, and therefore the results discussed confidently provide implications for both public and private long-term care policies.
Vacancy monitoring in residential care homes and nursing homes: Scotland 2000
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2000
- Pagination:
- 14p.
- Place of publication:
- Edinburgh
The purpose of this statistical release is to present information on occupancy rates and admissions and vacancies in residential care homes and nursing homes in Scotland. It contains provisional information only.
Statistics release: care homes, Scotland: March 2003
- Author:
- SCOTLAND. Scottish Executive National Statistics
- Publisher:
- Scotland. Scottish Executive National Statistics
- Publication year:
- 2004
- Pagination:
- 15p.
- Place of publication:
- Edinburgh
The purpose of this Statistics Release is to present national figures for care homes for adults in Scotland. All figures relate to the 31st March 2003 and are provisional and, as such, subject to change. The final figures will be published in Scottish Community Care Statistics 2003. At 31st March 2003 there were 1,616 registered care homes providing 43,578 places to 39,208 residents. The number of registered places in care homes for older people has decreased by 1 per cent since 2002 from 37,149 to 36,829. The occupancy rate in these homes (the number of occupied or unavailable places) is 93 per cent.
Residential care homes, Scotland 2002
- Author:
- SCOTLAND. Scottish Executive National Statistics
- Publisher:
- Scotland. Scottish Executive National Statistics
- Publication year:
- 2002
- Pagination:
- 8p.
- Place of publication:
- Edinburgh
The information presented is derived from returns made to the Scottish Executive by individual care homes or via Scottish local authorities
Vacancy monitoring in residential care homes and nursing homes, Scotland 2002
- Author:
- SCOTLAND. Scottish Executive National Statistics
- Publisher:
- Scotland. Scottish Executive National Statistics
- Publication year:
- 2002
- Pagination:
- 14p.
- Place of publication:
- Edinburgh
Presents information on occupancy rates, admissions and vacancies in residentail care homes in Scotland.
Residential care homes: Scotland 2000
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2000
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
The figures presented are provisional and subject to change.
Residential care homes, Scotland 2001
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2001
- Pagination:
- 7p.
- Place of publication:
- Edinburgh
The information presented is derived from returns made to the Scottish Executive by individual care homes or via Scottish local authorities
Vacancy monitoring report: residential care homes and nursing homes in Scotland; 1st April to 31st March 1999
- Author:
- GREAT BRITAIN. Scottish Executive
- Publisher:
- Great Britain. Scottish Executive
- Publication year:
- 1999
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
Presents information on occupancy rates, admissions and vacancies in residential care homes in Scotland.
A need for care?: elderly applicants for local authority homes
- Authors:
- NEILL June, et al
- Publisher:
- Avebury
- Publication year:
- 1988
- Pagination:
- 243p., tables, bibliog.
- Place of publication:
- Aldershot
The results from a comprehensive research project undertaken at NISW, into the reasons and decision-making behind applications for local authority residential care.
Survey of admissions to residential and nursing home care: final report of the 42 month follow-up
- Authors:
- BEBBINGTON Andrew, et al
- Publisher:
- Personal Social Services Research Unit (PSSRU). University of Kent at Canterbury
- Publication year:
- 2000
- Pagination:
- 96p.,tables.
- Place of publication:
- Canterbury
This report describes the findings from the final follow up of individuals included in the 1995 Personal Social Services Research Unit's "Survey of admissions to residential and nursing homes" three and a half years after admission